MMSC-LIKE LIMBAL CELLS COTRANSPLANTATION PROMOTES LOCAL IMMUNOCORRECTION AND CORNEAL GRAFT TRANSPARENT RETENTION IN HIGH RISK KERATOPLASTY

Aim was to evaluate clinical results of donor corneal graft survival in high-risk recipients in co-transplantation of preserved allogenic limbal grafts. Materials and methods. Two types of penetrative keratoplasties were carried out in patients with corneal graft opacities and high risk of rejection...

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Main Authors: S. A. Borzenok, N. A. Onishchenko, Kh. D. Tonaeva, Y. A. Komakh, Y. V. Kovshun, N. A. Strusova
Format: Article
Language:Russian
Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2014-05-01
Series:Вестник трансплантологии и искусственных органов
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Online Access:https://journal.transpl.ru/vtio/article/view/60
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author S. A. Borzenok
N. A. Onishchenko
Kh. D. Tonaeva
Y. A. Komakh
Y. V. Kovshun
N. A. Strusova
author_facet S. A. Borzenok
N. A. Onishchenko
Kh. D. Tonaeva
Y. A. Komakh
Y. V. Kovshun
N. A. Strusova
author_sort S. A. Borzenok
collection DOAJ
description Aim was to evaluate clinical results of donor corneal graft survival in high-risk recipients in co-transplantation of preserved allogenic limbal grafts. Materials and methods. Two types of penetrative keratoplasties were carried out in patients with corneal graft opacities and high risk of rejection (n = 69). Co-transplantation of donor cornea and allogenic MMSC-like limbal cells in the form of limbal transplants was carried out in the 1st group (n = 36); in the 2nd group (n = 33) only the cornea was transplanted. Results. Observation of the patients during one year after surgery showed that the rate of transparent cornea engraftment increased in the 1st group (86,1 against 69,7% in the 2nd group). The density of endothelial cells was also higher in the 1st group (85,9 against 76,2% in the 2nd group). At the same time, progressive decreasing of pro-inflammatory cytokines (IL-6, IFNγ, TNFα) and increasing of anti-inflammatory cytokines (IL-10, IL-1RA, TGFβ) along with higher level of HLA-G5 were revealed in the recipients’ tear fluid in the 1st group in comparison to the 2nd group. Conclusion. Simultaneous transplantation of preserved limbal grafts with corneal graft in high-risk keratoplasty favors the transparent cornea engraftment, obviously, this is due to immunoregulatory activity of the MMSC-like limbal cells.
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issn 1995-1191
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publishDate 2014-05-01
publisher Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
record_format Article
series Вестник трансплантологии и искусственных органов
spelling doaj-art-0b07f63e21d94afda7176d0782fe002c2025-08-20T03:21:07ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovВестник трансплантологии и искусственных органов1995-11912014-05-01161122010.15825/1995-1191-2014-1-12-203MMSC-LIKE LIMBAL CELLS COTRANSPLANTATION PROMOTES LOCAL IMMUNOCORRECTION AND CORNEAL GRAFT TRANSPARENT RETENTION IN HIGH RISK KERATOPLASTYS. A. Borzenok0N. A. Onishchenko1Kh. D. Tonaeva2Y. A. Komakh3Y. V. Kovshun4N. A. Strusova5FSBI «The Academician S.N. Fyodorov Eye Microsurgery Complex» of the Ministry of Public Health of Russia, Moscow, Russian Federation SEI HPE «Moscow State Medical and Dental University. A.I. Evdokimov» of the Ministry of Health of Russia, Department of Ophthalmology, Moscow, Russian Federation«V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs» of the Ministry of Public Health of Russia, Moscow, Russian FederationFSBI «The Academician S.N. Fyodorov Eye Microsurgery Complex» of the Ministry of Public Health of Russia, Moscow, Russian FederationFSBI «The Academician S.N. Fyodorov Eye Microsurgery Complex» of the Ministry of Public Health of Russia, Moscow, Russian FederationFSBI «The Academician S.N. Fyodorov Eye Microsurgery Complex» of the Ministry of Public Health of Russia, Moscow, Russian FederationFSBI «The Academician S.N. Fyodorov Eye Microsurgery Complex» of the Ministry of Public Health of Russia, Moscow, Russian FederationAim was to evaluate clinical results of donor corneal graft survival in high-risk recipients in co-transplantation of preserved allogenic limbal grafts. Materials and methods. Two types of penetrative keratoplasties were carried out in patients with corneal graft opacities and high risk of rejection (n = 69). Co-transplantation of donor cornea and allogenic MMSC-like limbal cells in the form of limbal transplants was carried out in the 1st group (n = 36); in the 2nd group (n = 33) only the cornea was transplanted. Results. Observation of the patients during one year after surgery showed that the rate of transparent cornea engraftment increased in the 1st group (86,1 against 69,7% in the 2nd group). The density of endothelial cells was also higher in the 1st group (85,9 against 76,2% in the 2nd group). At the same time, progressive decreasing of pro-inflammatory cytokines (IL-6, IFNγ, TNFα) and increasing of anti-inflammatory cytokines (IL-10, IL-1RA, TGFβ) along with higher level of HLA-G5 were revealed in the recipients’ tear fluid in the 1st group in comparison to the 2nd group. Conclusion. Simultaneous transplantation of preserved limbal grafts with corneal graft in high-risk keratoplasty favors the transparent cornea engraftment, obviously, this is due to immunoregulatory activity of the MMSC-like limbal cells.https://journal.transpl.ru/vtio/article/view/60ммск-подобные лимбальные клетки, кератопластика, трансплантаты роговицы, аллогенные лимбальные трансплантаты
spellingShingle S. A. Borzenok
N. A. Onishchenko
Kh. D. Tonaeva
Y. A. Komakh
Y. V. Kovshun
N. A. Strusova
MMSC-LIKE LIMBAL CELLS COTRANSPLANTATION PROMOTES LOCAL IMMUNOCORRECTION AND CORNEAL GRAFT TRANSPARENT RETENTION IN HIGH RISK KERATOPLASTY
Вестник трансплантологии и искусственных органов
ммск-подобные лимбальные клетки, кератопластика, трансплантаты роговицы, аллогенные лимбальные трансплантаты
title MMSC-LIKE LIMBAL CELLS COTRANSPLANTATION PROMOTES LOCAL IMMUNOCORRECTION AND CORNEAL GRAFT TRANSPARENT RETENTION IN HIGH RISK KERATOPLASTY
title_full MMSC-LIKE LIMBAL CELLS COTRANSPLANTATION PROMOTES LOCAL IMMUNOCORRECTION AND CORNEAL GRAFT TRANSPARENT RETENTION IN HIGH RISK KERATOPLASTY
title_fullStr MMSC-LIKE LIMBAL CELLS COTRANSPLANTATION PROMOTES LOCAL IMMUNOCORRECTION AND CORNEAL GRAFT TRANSPARENT RETENTION IN HIGH RISK KERATOPLASTY
title_full_unstemmed MMSC-LIKE LIMBAL CELLS COTRANSPLANTATION PROMOTES LOCAL IMMUNOCORRECTION AND CORNEAL GRAFT TRANSPARENT RETENTION IN HIGH RISK KERATOPLASTY
title_short MMSC-LIKE LIMBAL CELLS COTRANSPLANTATION PROMOTES LOCAL IMMUNOCORRECTION AND CORNEAL GRAFT TRANSPARENT RETENTION IN HIGH RISK KERATOPLASTY
title_sort mmsc like limbal cells cotransplantation promotes local immunocorrection and corneal graft transparent retention in high risk keratoplasty
topic ммск-подобные лимбальные клетки, кератопластика, трансплантаты роговицы, аллогенные лимбальные трансплантаты
url https://journal.transpl.ru/vtio/article/view/60
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